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Medical Claims Processor Jobs (NOW HIRING)

ICONMA

Claims processor

$17.50 - $22/hr

Claims Processor Our client, a IT Services and Consulting company, is looking for a Claims ... Analyze medical claims and supporting documentation to determine eligibility and payment amounts ...

New

Moda Health

Medical Claims Processor I

Milwaukie, OR · Hybrid

$17.34 - $19.41/hr

Enters claims data into system while interpreting coding and understanding medical terminology in ... Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Claims Processor At NTT DATA, we know that with the right people on board, anything is possible ... Company benefits may include medical, dental, and vision insurance, flexible spending or health ...

Moda Health

Medical Claims Processor I

Milwaukie, OR · On-site

Enters claims data into system while interpreting coding and understanding medical terminology in ... Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient ...

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for:

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · On-site

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Karna, LLC

$20 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following ...

Karna LLC

Experienced Healthcare Claims Processor

$22 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following ...

KARNA LLC

$22 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following ...

KARNA LLC

$20 - $25/hr

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In ...

PRIDE Health

Claims Processor

Manhattan, NY · On-site

$30 - $33/hr

Key Responsibilities Process medical and surgical provider claims accurately and efficiently. Review claims for complete member and provider information. Apply administrative policies and claims ...

CommonSpirit Health

Claims Processor

Omaha, NE · On-site +1

$16.25 - $20.50/hr

As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to payers. This role is perfect for a ...

New

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All JobsMedical Claims Processor Jobs

Medical Claims Processor information

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How much do medical claims processor jobs pay per hour?

As of Jul 24, 2026, the average hourly pay for medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What are some common challenges faced by Medical Claims Processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What Is a Medical Claims Processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a Medical Claims Processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What is the difference between Medical Claims Processor vs Medical Billing Specialist?

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

What are the key skills and qualifications needed to thrive as a Medical Claims Processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.
More about Medical Claims Processor jobs
What cities are hiring for Medical Claims Processor jobs? Cities with the most Medical Claims Processor job openings:
What are the most commonly searched types of Medical Claims Processor jobs? The most popular types of Medical Claims Processor jobs are:
Who are the top companies hiring for Medical Claims Processor jobs? The top employers for Medical Claims Processor jobs are:
What states have the most Medical Claims Processor jobs? States with the most job openings for Medical Claims Processor jobs include:
What are popular job titles related to Medical Claims Processor jobs? For Medical Claims Processor jobs, the most frequently searched job titles are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Claims processor

Claims processor

ICONMA

Remote

$17.50 - $22/hr

Other

Posted 2 days ago

Job description

Claims Processor

Our client, a IT Services and Consulting company, is looking for a Claims Processor for their Remote location.

Responsibilities:
  • Analyze medical claims and supporting documentation to determine eligibility and payment amounts based on provided SOPs.
  • Conduct thorough evaluations of claims to assess legitimacy while meeting monthly production and quality targets.
  • Record Keeping: Maintain detailed records of claims processed, decisions made, and communications with claimants for auditing purposes, and report daily results to the lead at the end of each day without fail.
Requirements:
  • Years of Experience: 3.00 Years of Experience
Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities
ICONMA logo

About ICONMA

Sourced by ZipRecruiter

ICONMA is an established and stable organization building lasting relationships with clients and consultants. We are unique in our ability to provide a full spectrum of Staffing Services and Solutions including: Staff Augmentation (Contract, Contract-to-Hire, Direct Hire), Bulk Buy Staff Augmentation, Offshore Staff Augmentation, Payroll Services and Consulting (Project Delivery, SOW). At ICONMA, our goal is to become a one-stop destination for our customers' staffing and outsourcing needs. Our vision is to be a preeminent provider of innovative business solutions, leveraging key technologies to improve our customers' competitiveness, growth, and profitability. ICONMA focuses on a culture that fosters collaboration and team work. We recognize that employees are the foundation of any company, and we encourage our employees to be leaders while providing continuous training and growth opportunities. ICONMA encourages hard work, determination and dedication in a professional environment. ICONMA promotes a healthy work-life balance, and understands this is a key component to our employee's and company's success.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Troy, MI, US

Year founded

2000

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